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General NPI Number Information
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NPI Number | 1821285495
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Entity Type | Individual
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Provider Name | MUDITA SETHI D.M.D
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Gender | Female
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Dates
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Enumeration Date | 09/27/2007
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Last Update Date | 04/08/2019
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Provider Practice Location Address
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Address Line | 3610 W UNIVERSITY DR STE 400
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City | MCKINNEY
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State | TX
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Zip | 75071
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Country | US
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Telephone | 972-548-9956
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Fax |
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Provider Business Mailing Address
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Address Line | 11489 CERRILLOS DR
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City | FRISCO
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State | TX
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Zip | 75035-5082
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Country | US
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Telephone | 848-248-0742
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 25887
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License Number State | TX
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